Sidwell, Lauren Kathryn
Sidwell, Lauren Kathryn is an individual health care provider with primary practice located at 6812 State Route 162 Ste 200 , Maryville IL 62062-8562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sidwell, Lauren Kathryn can be contacted via phone (618) 288-0900.Contact Information
Primary practice address
6812 State Route 162 Ste 200
Maryville IL 62062-8562
Phone: (618) 288-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209018891 | Illinois |
Profile Details
| NPI number | 1720629470 |
|---|---|
| LBN Legal business name | Sidwell, Lauren Kathryn |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Oct 3rd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Verheyen, Alyssa Ryanne Goddard
6812 State Route 162 Suite 202, Maryville IL 62062-8553 -
Eller, Claire
6800 Il Route 162 , Maryville IL 62062 -
Mendoza, Jaime Renee
6805 State Route 162 Ste 201 , Maryville IL 62062 -
Daniels, Jenny M
2023 Vadalabene Dr Suite 200, Maryville IL 62062-5630 -
Garner, Myjal
1 Oak Dr , Maryville IL 62062-7004 -
Bosaw, Tonya Ann
6812 State Route 162 Ste 204 , Maryville IL 62062-8562 -
Winter, Tina A
2090 Vadalabene Dr , Maryville IL 62062-5841 -
Wuebbels, Kayla B
20 Professional Park Dr Ste B , Maryville IL 62062-5830